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CYH

Community Health Systems, Inc.

CYH

Community Health Systems, Inc. • NYSE
$3.46 ▲ 0.29% (+0.01)
Market Cap $479.28 M
52w High $4.47
52w Low $2.24
Dividend Yield 0%
P/E 1.41
Volume 737.24K
Outstanding Shares 138.52M

Income Statement

Period Revenue Operating Expense Net Income Net Profit Margin Earnings Per Share EBITDA
Q3-2025 $3.087B ▼ $0 ▼ $130M ▼ 4.211% ▼ $0.97 ▼ $322M ▼
Q2-2025 $3.133B ▼ $825M ▼ $282M ▲ 9.001% ▲ $2.11 ▲ $379M ▲
Q1-2025 $3.159B ▼ $1.014B ▼ $-13M ▲ -0.412% ▲ $-0.098 ▲ $365M ▲
Q4-2024 $3.265B ▲ $1.116B ▼ $-70M ▲ -2.144% ▲ $-0.53 ▲ $334M ▲
Q3-2024 $3.09B $1.467B $-391M -12.654% $-2.95 $178M

Balance Statement

Period Cash & Short-term Total Assets Total Liabilities Total Equity
Q3-2025 $123M ▼ $13.239B ▼ $14.19B ▼ $-1.502B ▲
Q2-2025 $456M ▲ $13.641B ▼ $14.739B ▼ $-1.631B ▲
Q1-2025 $431M ▲ $13.89B ▼ $15.219B ▼ $-1.923B ▼
Q4-2024 $37M ▲ $14.054B ▲ $15.371B ▲ $-1.914B ▼
Q3-2024 $33M $13.905B $15.175B $-1.823B

Cash Flow Statement

Period Net Income Cash From Operations Cash From Investing Cash From Financing Net Change Free Cash Flow
Q3-2025 $130M ▼ $69M ▼ $-82M ▼ $-320M ▲ $-333M ▼ $4M ▲
Q2-2025 $282M ▲ $88M ▼ $343M ▼ $-406M ▼ $25M ▼ $-3M ▼
Q1-2025 $-13M ▲ $120M ▼ $444M ▲ $-170M ▼ $394M ▲ $35M ▼
Q4-2024 $-70M ▲ $216M ▲ $-143M ▼ $-69M ▲ $4M ▲ $107M ▲
Q3-2024 $-391M $67M $74M $-147M $-6M $-3M

Revenue by Products

Product Q4-2024Q1-2025Q2-2025Q3-2025
Managed Care And Other Third Party Payors
Managed Care And Other Third Party Payors
 $1.58Bn ▲$1.47Bn ▼$1.48Bn ▲$1.50Bn ▲
Medicaid
Medicaid
 $530.00M ▲$480.00M ▼$550.00M ▲$510.00M ▼
Medicare
Medicare
 $560.00M ▲$590.00M ▲$540.00M ▼$530.00M ▼
Self Pay Revenue
Self Pay Revenue
 $30.00M ▲$20.00M ▼$20.00M ▲$20.00M ▲

Five-Year Company Overview

Income Statement

Income Statement Revenue has been broadly stable over the past several years, growing only modestly but holding its ground even through disruption in the healthcare system. Gross profit has inched higher, suggesting some improvement in how efficiently services are delivered. Operating profits, however, have been choppy: the company has swung between better and weaker years, with recent results showing thinner operating margins than earlier in the period. Earnings after interest and other costs have moved from profits to losses, reflecting the weight of interest expense and other below-the-line items. In practical terms, the core hospital operations are generating operating profit, but not enough, consistently, to comfortably cover financing costs and produce steady net income for shareholders.

Balance Sheet

Balance Sheet The balance sheet is heavily debt‑funded, with borrowings making up the vast majority of the capital structure. Reported equity is negative, which is a signal that accumulated losses and past accounting charges have eroded the book value of the company. Total assets have slowly declined over time, and the cash balance is very thin relative to the size of the business and the level of debt. This structure leaves the company financially stretched: it depends on ongoing cash generation and access to financing markets to service its obligations, and it has limited balance‑sheet flexibility to absorb major shocks or to fund large growth initiatives from internal resources alone.

Cash Flow

Cash Flow Cash generation from day‑to‑day operations has been inconsistent. There have been years of solid positive cash flow and years where operating cash flow was weak or even briefly negative. More recently, operating cash flow has improved compared with the weakest years but is still not comfortably strong relative to the company’s debt load. After capital spending, free cash flow has flipped between positive and negative, with the latest year back in positive territory. Capital expenditures themselves have been fairly steady, implying the company is maintaining its asset base but not dramatically ramping up investment. Overall, the cash profile shows a business that can generate cash, but with volatility and not a large margin for error given the financing demands.

Competitive Edge

Competitive Edge Community Health Systems is one of the larger hospital operators in the country, with a strong footprint in non‑urban and rural markets where it often faces limited direct competition. That network scale, combined with a broad range of services across hospitals, physician practices, and outpatient sites, gives it the ability to keep patients within its system and benefit from shared infrastructure. Its relationships with physicians and its role as a primary provider in many communities create meaningful local loyalty and barriers to entry. On the other hand, the company operates in a highly regulated, labor‑intensive industry where staffing shortages, wage pressure, and reimbursement changes from government and commercial payers can quickly pressure margins. The high debt load also reduces strategic flexibility compared with better‑capitalized peers. Overall, it has a real operating footprint advantage, but that strength is partly offset by financial constraints and industry headwinds.

Innovation and R&D

Innovation and R&D The company is leaning heavily into technology to differentiate itself. Its partnership with a major cloud provider gives it a unified data platform that can support advanced analytics, more coordinated care, and operational efficiency. It is actively testing generative AI to streamline clinical documentation, reduce administrative burden, and personalize patient support, which, if executed well, can ease clinician workload and improve patient experience. The remote patient monitoring program, delivered with a specialist partner, is a standout: it extends care into the home for chronic conditions and has shown better patient engagement and health outcomes, with early evidence of lower overall costs. Telehealth expansion and the vision of “smart” hospitals suggest a clear digital roadmap. While all of this is still in various stages of rollout and the financial impact is not yet fully proven, CYH is notably more tech‑forward than many community‑focused hospital systems, and that could become a meaningful edge over time if it can be scaled and integrated smoothly.

Summary

Community Health Systems combines the strengths of a large, strategically located hospital network with the weaknesses of a highly leveraged balance sheet and thin, volatile profitability. Revenue has held steady and operating performance is positive at the core level, but net results have slipped into losses due to financing and other costs. The balance sheet is strained, with substantial debt and negative equity, leaving less room to maneuver in downturns. Cash flow is capable but uneven, and must work hard just to support the capital needs and interest burden. Against that backdrop, the company’s push into cloud data, AI, and remote monitoring stands out as a forward‑looking attempt to improve care quality and operational efficiency, especially in the rural markets where it has a strong foothold. The key tension for observers is whether these operational and technological strengths can, over time, offset the financial risks posed by high leverage and a demanding operating environment in healthcare.

NEWS

November 5, 2025 · 11:00 AM UTC

Community Health Systems Announces Participation in the 2025 UBS Global Healthcare Conference

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October 30, 2025 · 4:30 PM UTC

Community Health Systems Announces Definitive Agreement to Sell Ownership Interests in Clarksville, Tennessee, Hospital to Vanderbilt University Medical Center

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October 24, 2025 · 5:30 PM UTC

Community Health Systems Announces Definitive Agreement to Sell Three Pennsylvania Hospitals to Tenor Health Foundation

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October 23, 2025 · 4:15 PM UTC

Community Health Systems, Inc. Announces Third Quarter Ended September 30, 2025 Results

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October 9, 2025 · 11:00 AM UTC

Community Health Systems to Webcast Third Quarter 2025 Conference Call

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